Commercial Insurance Quote Request | State 28 Insurance & Safety

What do you need quoted?

Pick what you need quoted. We only ask about those. Pick more than one if you need more than one.

Workers' compensationInjuries to your own crew General liabilityHarm to other people or their property Commercial autoYour vehicles and the people driving them PropertyBuildings, contents and equipment UmbrellaExtra limits above the policies below it

Who do we call back?

Four answers. This is the only part the agent cannot work without.

Your name Required

Company Required

Work email Required

Phone Required

Website Optional

About the business

Enough for the agent to know what they are looking at before they call. Skip anything you do not have to hand.

What the business does Optional

Industry Optional

Employees Optional

Annual revenue Optional

Annual payroll Optional

Any other states, listed Optional

When your current policy ends Optional

Biggest concern right now Optional

The vehicles

Rough numbers are fine. The agent confirms the detail later.

How many vehicles Optional

How many drivers Optional

Anything about the drivers worth knowing Optional

Any vehicle losses in the last few years Optional

Workers' compensation

If you do not have these to hand, leave them. Nobody is turned away for a blank.

Class codes and payroll, if you know them Optional

Current EMR Optional

Anything about recent claims Optional

In place today Optional

Anything else about the crew or the work Optional

Property

One line per answer is plenty. Leave anything you would have to go and look up.

How many locations Optional

Owned or leased Optional

Construction type Optional

What the space is used for Optional

Square footage Optional

Value, or the limit you want Optional

Safety snapshot

This is the part that moves a workers' comp or auto file along, and every single question is optional. A blank EMR does not stop anything.

Current EMR Optional

TRIR Optional

DART Optional

OSHA recordables, last 3 years Optional

Vehicle accidents, last 3 years Optional

Safety person on staff Optional

Yes No Not sure

Written safety program Optional

Yes No Not sure

Return to work program Optional

Yes No Not sure

Modified duty available Optional

Yes No Not sure

Telematics or dash cameras Optional

Yes No Not sure

Job hazard analysis Optional

Yes No Not sure

Drug testing Optional

Yes No Not sure

Claims reviewed monthly Optional

Yes No Not sure

Documents

Nothing to do here. Loss runs and declarations pages help, and they are not needed to start. The agent asks for them on the call, once you have both agreed it is worth quoting.

If you already have them, say so and the agent will tell you where to send them.

Anything else the agent should know Optional

A last look

This is everything you typed. Go back and change anything that is not right.

Who sees your answers: State 28 Insurance & Safety LLC, a licensed Texas agency (TX Insurance Agency Lic. #3527728), to prepare a commercial insurance quote request. Genesis Flow Labs, State 28's technology vendor, hosts this page and delivers your submission to State 28. A copy also goes to the vendor mailbox so that delivery can be confirmed, and that copy is deleted once it has been. State 28 shares the request with the markets it takes the request to. State 28 keeps your answers while it prepares and follows up on the request, and deletes them on request. Questions or a deletion request: dustin@state28safety.com.

These answers are used to prepare a quote request. They are not a formal application and they place no coverage. If you decide to go ahead, a formal application signed by the business comes later, with the carrier. State 28 Insurance & Safety LLC, TX Insurance Agency Lic. #3527728.

Get commercial insurance quoted.

What do you need quoted?

Who do we call back?

About the business

The vehicles

Workers' compensation

Property

Safety snapshot

Documents

A last look